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Organization
EXODUS RECOVERY INC
Active
Organization
EXODUS RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ALLEN RN (REGISTERED NURSE)
(714) 410-3500
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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